Healthcare Program Manager — Quality, AI & Strategy

Blue Shield of CA; Redding (CA); Hybrid; USD 140,000 - 190,000; Full time

Job summary

Blue Shield of CA is seeking a Program Manager, Consultant to provide strategic alignment and oversight across Clinical Quality initiatives, including AI deployment and vendor oversight. You will define projects, manage budgets, and drive benefits realization while guiding cross-functional teams to on-time delivery.

The role requires 7+ years of experience in a health plan or similar setting, with advanced project management skills.

Qualifications

• Bachelor's degree or equivalent with 4 years of additional relevant experience.
• 7 years of prior relevant experience required.
• Experience working at a health plan (managed care, government payer, or academic).
• Deep understanding of project and resource management, strong business acumen, and team focus.
• Strong analytical and problem-solving skills.
• Previous project/program management experience required.
• Master's degree (MPH, MHA, MSW) preferred.
• PMP Certified preferred.
• Proficiency with Cozeva application highly desired.

Responsibilities

• Define projects and initiatives required to support teams to ensure on-time implementation, within budget, and with benefits realized.
• Assist in the planning and direction of budgets.
• Manage program from initiation through delivery and monitor for continuous improvement.
• Organize interdepartmental activities and perform operational responsibilities.
• Participate cross-functionally in business planning to support Clinical Quality outcomes.
• Guide teams, assign, and monitor the work of team members, and provide leadership.

Skills

Project management

Leadership

Budget planning

Analytical thinking

Team focus

Education

Bachelor's degree

Master's degree preferred

Tools

Cozeva

PM tools

Job description

Blue Shield of CA is seeking a Program Manager, Consultant to provide strategic alignment and oversight across Clinical Quality initiatives, including AI deployment and vendor oversight. You will define projects, manage budgets, and drive benefits realization while guiding cross-functional teams to on-time delivery.

The role requires 7+ years of experience in a health plan or similar setting, with advanced project management skills.